Mesh erosion into the cecum following laparoscopic intraperitoneal onlay mesh (IPOM) repair.

backgroundIncisional hernia is a common complication of abdominal surgery, characterized by protrusion of abdominal contents through a weakened incision site. Although laparoscopic IPOM repair reduces recurrence rates compared to open repair, it carries a risk of rare complications, such as erosion of prosthetic mesh. CASE PRESENTATION: We describe a 50-year-old woman with a history of scleroderma who presented with chronic abdominal pain, intermittent diarrhea, and fullness in the right lower quadrant. Imaging evaluation, including CT scan and colonoscopy revealed erosion of prosthetic mesh into the cecum, which was confirmed during exploratory laparotomy. The patient underwent a segmental colectomy with ileocolic anastomosis and recovered without postoperative complications. DISCUSSION: Mesh erosion is an uncommon but serious complication of laparoscopic IPOM repair, potentially influenced by impaired wound healing in connective tissue disorders such as scleroderma. This case highlights the importance of careful postoperative monitoring and timely recognition of mesh-related complications.

conclusionThis case emphasizes the need for increased awareness of the risk of prosthetic mesh erosion following intraperitoneal mesh repair and underscores the urgent need for further research into its long-term outcomes and complications.